29445 application rigid tot cntc leg cast
Also known as: rigid total contact cast, total contact cast, customized pressure cast
Application of a rigid total contact leg cast that incorporates a custom-molded inner surface to distribute pressure evenly and reduce weight-bearing stress.
In Plain Language
pressure-relieving leg cast; customized contact cast
Clinical Context
Primarily used for diabetic foot ulcers and neuropathic feet to offload pressure and promote healing.
RVU Breakdown
| Work RVU | 1.74 |
| Total RVU | 1.74 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.74, this code ranks in the 11th percentile among Surgery codes — 4.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 29445?
CPT 29445 (application rigid tot cntc leg cast) is a Surgery code. Application of a rigid total contact leg cast that incorporates a custom-molded inner surface to distribute pressure evenly and reduce weight-bearing stress.
What is the wRVU value for CPT 29445?
The work RVU for CPT 29445 is 1.74. This code is primarily used by Orthopedic Surgery, Podiatry, Internal Medicine.
When is CPT 29445 used?
Primarily used for diabetic foot ulcers and neuropathic feet to offload pressure and promote healing.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.